妇科瘤学的财务毒性:一个多实践调查调查
Anna Jo Smith1, Maya H Sharma2, Kristina Powell3
1Department of Obstetrics and Gynecology, University of Pennsylvania Health Systems, Philadelphia, Pennsylvania, USA; Division of Gynecologic Oncology, University of Pennsylvania, Philadelphia, Pennsylvania, USA; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA; Penn Center for Cancer Care Innovation, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
概括
金融毒性影响近一半的妇科瘤患者,不成比例地影响年轻人,非白人个人,以及那些拥有私人保险的人. 解决这一财务负担对于公平的癌症护理至关重要.
科学领域:
- 妇科瘤学 妇科瘤学
- 卫生经济学 卫生经济学
- 患者倡导 患者倡导
背景情况:
- 财务毒性是癌症护理的重大负担,与患者的治疗结果较差和生存率降低有关.
- 了解金融毒性的患病率和风险因素对于制定瘤学的有针对性的支持策略至关重要.
研究的目的:
- 为了确定在多处医疗保健系统内接受妇科癌症治疗的患者中金融毒性的发生率.
- 为了确定特定的患者人口统计和临床因素,与增加的风险的金融毒性在这个人群中.
主要方法:
- 一项调查,包括11项财务毒性综合评分 (COST) 工具,被用于诊断为妇科瘤的患者.
- 从2020年1月到2022年2月收集了数据,分析了高 (COST <26) 与低 (COST ≥26) 财务毒性患者的比较.
主要成果:
- 该研究发现,44%的接受调查的妇科瘤患者经历了财务毒性.
- 较高的财务毒性在年轻的患者,宫癌患者,私人保险或医疗补助接收者和失业者中更为普遍.
- 认定为非白人和拥有医疗保险 (与私人保险相比) 的患者表现出不同的金融毒性风险概况.
结论:
- 很大一部分妇科癌症患者面临财务毒性,突出了癌症护理的严重未满足需求.
- 年龄较小,非白人种族和私人保险被确定为金融毒性的关键风险因素.
- 实施有针对性的干预措施是必要的,以减轻金融毒性和减少癌症治疗中的健康差异.
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